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OR Nurse:
doi: 10.1097/01.ORN.0000384192.57245.e1
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Care of the patient with cervical spine injury

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INSTRUCTIONS Care of the patient with cervical spine injury

TEST INSTRUCTIONS

* To take the test online, go to our secure Web site at http://www.nursingcenter.com/ORnurse.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 34. Each question has only one correct answer. You may make copies of these forms.

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* You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.

* Registration deadline is August 31, 2012.

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PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of ORNurse2010 journal, will award 2.1 contact hours for this continuing nursing education activity. Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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Care of the patient with cervical spine injury

GENERAL PURPOSE: To provide the registered professional nurse with a review of perioperative care considerations required for patients with cervical spine injury. LEARNING OBJECTIVES: After reading this article and taking this test, the nurse will be able to: 1. Discuss MVC-related causes of cervical spinal cord injuries and the associated pathology. 2. Discuss perioperative care considerations for the patient with cervical spine injury.

1. Cervical spine fractures increase by over ____ when seat belts aren't used and air bags are deployed during an MVC.

a. 20%

b. 30%

c. 40%

d. 50%

2. Data show that improper air bag use results in

a. a higher ISS and lower GCS.

b. a higher ISS and higher GCS.

c. a lower ISS and lower GCS.

d. a lower ISS and higher GCS.

3. The patient in the case study was injured when his head hit the

a. passenger door.

b. windshield.

c. dashboard and the air bag deployed.

d. headrest.

4. The NHTSA recommends that children ride properly restrained in the back seat up to age

a. 5 years.

b. 6 years.

c. 10 years.

d. 13 years.

5. Incomplete cord transaction is least likely to cause a deficit in

a. thermal regulation.

b. bowel and bladder function.

c. motor function below the injury.

d. sensory function below the injury.

6. Which type of incomplete cord syndrome is the most common and has the best recovery prognosis?

a. anterior

b. posterior

c. central

d. Brown-Séquard

7. Anatomic differences between child and adult cervical spines are most prominent until about age

a. 8 years.

b. 13 years.

c. 14 years.

d. 16 years.

8. SCIWORA occurs more commonly in children

a. under 8 years old with a high ISS.

b. under 8 years old with a low ISS.

c. over 8 years old with a high ISS.

d. over 8 years old with a low ISS.

9. Which statement is true about cervical collars?

a. They should be applied in all cases of suspected neck injury.

b. They should be removed before logrolling.

c. They provide an increased level of stability.

d. They provide complete immobilization.

10. Which is most effective in restricting motion during the transfer of a patient with a cervical spine injury?

a. a cervical collar

b. a spine board

c. a KED board

d. a person manually stabilizing the spine

11. Patient-related factors that may affect proper positioning or lead to intraoperative complications include all except

a. extremes in age.

b. normal body mass index.

c. degenerative changes.

d. poor skin integrity.

12. The patient's position in the OR primarily depends on the

a. surgical approach used.

b. type of anesthesia given.

c. patient's age.

d. patient's comorbid conditions.

13. Which surgical position has less effect on the circulatory system?

a. sitting

b. lateral

c. prone

d. supine

14. To ensure adequate lung expansion for patients in the prone position, use

a. a three-point headrest.

b. a horseshoe headrest.

c. body rolls.

d. gel pads under the shoulders.

15. Cervical spinal cord injury is associated with which of the following?

a. tachycardia

b. bradycardia

c. parasympathetic nervous system dysfunction

d. increased peripheral vascular tone

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